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Samenvatting Verpleegkundige niveau 4 verkort VVT
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Verpleegkundige niveau 4 verkort VVT deel 1
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InhouBoek 1 VVT
Samenvattinge
n
Vanaf zorg en begeleiding van chronisch zieken
Anja Haandrikman
,Zorg en begeleiding van chronische zieken............................................................5
Zorgvragers met psychogeriatrische aandoeningen..............................................9
Zorgvragers met dementie.................................................................................. 9
Dementie......................................................................................................... 9
Hersenen en geheugen.................................................................................... 9
Ziekteproces en symptomen..........................................................................10
Diagnostiek en behandeling...........................................................................11
Verschillende oorzaken van dementie............................................................13
Zorg en begeleiding.......................................................................................... 16
Benaderingswijzen......................................................................................... 16
Zorg................................................................................................................ 18
Overige psychogeriatrische aandoeningen.......................................................20
Zorgvragers met een depressie.....................................................................20
Depressie en dementie. Rouwklachten en lichamelijke klachten...................21
Zorgvragers met een delier............................................................................24
Andere psychogeriatrische problematiek..........................................................27
Zorgvragers met hart en vaataandoeningen........................................................30
Zorgvragers met atherosclerose.......................................................................30
Angina pectoris................................................................................................. 31
Verpleegkundige zorg..................................................................................... 33
Zorgvragers met hartritme stoornissen.............................................................33
Zorgvragers met aandoeningen aan de hersenen................................................40
Zorgvragers met een cerebrovasculair accident CVA........................................40
Zorgvragers met de ziekte van Parkinson............................................................47
Oorzaken........................................................................................................ 47
Verloop van de ziekte van Parkinson..............................................................47
Symptomen.................................................................................................... 47
Onderzoek en behandeling............................................................................ 49
Verpleegkundige zorg..................................................................................... 49
Thema 6 aandoeningen aan de hersenen toetsvragen........................................50
Epilepsie......................................................................................................... 51
Ziekte van Parkinson...................................................................................... 52
Diabetes Mellitus................................................................................................. 53
Symptomen bij diabetes mellitus:..................................................................55
Complicaties bij diabetes mellitus:...................................................................56
Op korte termijn Hypoglykemie -> Sterke snelle bloedsuikerdaling,
glucosegehalte in het bloed te laag Glucose waarde lager dan 4,0 mmol/l. . .56
Complicaties diabetes op lange termijn...........................................................57
Zorg en begeleiding van chronische zieken...........................................................4
Kenmerken van chronisch zieken:.......................................................................4
Verloop van een chronische ziekte:..................................................................4
1
, De levensverwachting...................................................................................... 5
De mate van invaliditeit................................................................................... 5
De bekendheid van een chronische ziekte.......................................................5
De aantoonbaarheid van een chronische ziekte..............................................5
Problemen bij de verwerking............................................................................5
Problemen bij het aanpassen van de leefwijze.................................................5
Problemen bij therapietrouw............................................................................ 6
Verstoord zelfbeeld.......................................................................................... 6
Problemen bij seksualiteit................................................................................ 6
Problemen bij rolverandering...........................................................................6
Chronische pijn................................................................................................ 6
Chronische moeheid........................................................................................ 7
Problemen met arbeid en inkomen..................................................................7
Zorg en begeleiding van chronisch zieken in de VVT
Langdurige verpleging en verzorging..................................................................7
Revalidatie....................................................................................................... 8
Ondersteunen bij zingeving............................................................................. 8
Ondersteuning bij zelfmanagement.................................................................8
Zorgvragers met psychogeriatrische aandoeningen..............................................8
Zorgvragers met dementie................................................................................. 8
Dementie......................................................................................................... 8
Cognitieve stoornissen:.................................................................................... 8
Hersenen en geheugen.................................................................................... 9
Ziekteproces en symptomen..........................................................................10
Diagnostiek en behandeling...........................................................................10
Verschillende oorzaken van dementie............................................................12
Zorg en begeleiding.......................................................................................... 14
Benaderingswijzen......................................................................................... 14
Zorg............................................................................................................... 16
Voorzieningen voor zelfstandig wonende zorgvragers met dementie............18
Woonvoorzieningen........................................................................................ 18
Overige psychogeriatrische aandoeningen.......................................................18
Zorgvragers met een depressie.....................................................................18
Depressie en dementie. Rouwklachten en lichamelijke klachten...................19
Zorgvragers met een delier........................................................................... 21
Andere psychogeriatrische problematiek..........................................................24
Zorgvragers met hart en vaataandoeningen........................................................27
Zorgvragers met atherosclerose.......................................................................27
Zorgvragers met coronair lijden........................................................................28
Angina pectoris................................................................................................. 28
Hartinfarct......................................................................................................... 29
2
, Symptomen.................................................................................................... 29
Verpleegkundige zorg..................................................................................... 30
Zorgvragers met hartritme stoornissen............................................................30
Symptomen.................................................................................................... 30
Onderzoek en behandeling............................................................................ 30
Verpleegkundige zorg..................................................................................... 31
Zorgvragers met klepgebreken.........................................................................31
Onderzoek en behandeling............................................................................ 31
Verpleegkundige zorg..................................................................................... 32
Hartfalen (decompensatio cordis of hartinsufficiëntie)..................................32
Oorzaken........................................................................................................ 32
Symptomen.................................................................................................... 32
Onderzoek en behandeling............................................................................ 32
Verpleegkundige zorg..................................................................................... 33
Zorgvragers met vaataandoeningen....................................................................33
Zorgvragers met chronische hypertensie..........................................................33
Fysiologie van de bloeddruk (tensie)..............................................................33
Hypertensie.................................................................................................... 34
Symptomen.................................................................................................... 34
Medicatie....................................................................................................... 34
Onderzoek en behandeling............................................................................ 34
Verpleegkundige zorg..................................................................................... 34
Zorgvragers met perifeer vaatlijden.................................................................34
Onderzoek en behandeling............................................................................ 35
Verpleegkundige zorg..................................................................................... 35
Zorgvragers met spataderen en/of open been..................................................35
Symptomen.................................................................................................... 35
Onderzoek en behandeling............................................................................ 36
Zorgvragers met aandoeningen aan de hersenen................................................36
Zorgvragers met een cerebrovasculair accident CVA........................................36
Wat is een CVA............................................................................................... 36
Risicofactoren en oorzaken............................................................................ 36
Vormen van CVA :.......................................................................................... 36
Handelen in acute fase.................................................................................. 37
Zorgvragers met de ziekte van Parkinson............................................................42
Oorzaken........................................................................................................ 42
Verloop van de ziekte van Parkinson..............................................................43
Symptomen.................................................................................................... 43
Onderzoek en behandeling............................................................................ 44
Verpleegkundige zorg..................................................................................... 45
Thema 6 aandoeningen aan de hersenen toetsvragen........................................45
3
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